● Clinical and Training Practice
Li Bingjie, Zhao Lei, Yan Shan, Liu Ruiting, Xu Tuanjie, Li Yuanyuan, Xie Suli
Objective: To explore the potential category characteristics of exercise fear in patients after anterior cruciate ligament reconstruction (ACLR) based on latent profile analysis, and to analyze the characteristics differences and influencing factors of different categories of exercise fear in patients after ACLR. Methods: In the fourth quarter of 2024 (October 1 to December 31), convenience sampling was used to select postoperative patients who underwent ACLR from four ClassⅢ Grade A hospitals in Henan Province as the research objects. The survey instruments included the General Information Questionnaire, Kinesiophobia Assessment Scale, Family APGAR Index (APGAR), and Self-Efficacy Scale. The data were collected through multidimensional evaluation. Latent profile analysis was used to explore the potential categories of exercise fear in patients after ACLR and analyze its influencing factors. Results: Finally, 337 patients were enrolled. The results of latent profile analysis showed that the exercise fear of patients after ACLR could be divided into three potential categories: low exercise fear-stable group (22%), medium exercise fear-avoidance group (45.8%), and high exercise fear-unstable group (32.2%). The results showed that education level, care situation, pain grading, family care and self-efficacy level were the influencing factors of exercise fear in patients after ACLR (P<0.05). Conclusion: There was significant heterogeneity in the exercise fear of patients after ACLR, which was divided into 3 potential categories: the low-kinesiophobia stable group, the moderate-kinesiophobia avoidance group, and the high-kinesiophobia unstable group, which were influenced by literacy level, care situation, and pain grading, and at the same time was closely related to family care and self-efficacy, and it is recommended that healthcare professionals implement individualized interventions based on the characteristics of the exercise fear of the patients in the various categories, to reduce the patients’ exercise fear.